NPI | 1174950430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP447553) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP1007891) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2021-03-29 |